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Lumpectomy with Sentinel Lymph Node Biopsy
5
Transcript
Diagnosis
Sentinel Lymph Node Biopsy
- Noticing symptoms and physical exam
- Imaging Test
- Mammograms
- Breast Ultrasound
- MRI
- Biopsy
Sentinel Lymph Node: First lymph node to which cancer cells are most likely to spread from primary tumor
References
Lumpectomy
- SLNB is when sentinel lymph node is identified, removed, and sent to pathology to be examined
- Negative=cancer has not developed ability to spread
- Positive=cancer may be present in other lymph nodes or organs
Breast-conserving Surgery
- http://www.cancer.net/research-and-advocacy/asco-care-and-treatment-recommendations-patients/sentinel-lymph-node-biopsy-early-stage-breast-cancer
- http://www.cancer.org/
- http://www.mayoclinic.org/tests-procedures/lumpectomy/basics/what-you-can-expect/prc-20012706
- Interview with breast surgeon, Dr. Amy Jew
- Surgery to remove cancer or other abnormal breast tissue
- Confirms diagnosis of cancer
- First treatment for early stage
- Positive/negative margins
- Followed by radiation
Procedure
1. Surgeon injects blue dye substance into breast near tumor
2. Make incision under the arm and follows radioactive signals or find the lymph nodes with dye and removes them
3. Pathologist examines nodes
4. Make incision over the tumor and remove mass and some surrounding tissue
Breast Cancer
Dr. Amie Jew
Details
- Hour and a half long procedure
- Outpatient, quick recovery
- Medical personnel involved: anesthesiologist, nurse, breast surgeon, pathologist
- Radiation for 6 weeks following
Cost
Mammogram: $10
Removal of breast growth: $1344 + $403 out of pocket
Biopsy: $594 +$178 out of pocket
Radiation: $93
- Started as a general surgeon, now only operates on breasts
- Left her private practice to teach
- Loves working with women
- Follows patients for years
- Sees about 300 patients and does at least 200 surgeries a year
- Begins when normal cells in the breast change and grow uncontrollably-forming mass or tumor
- Malignant=can spread
- Benign=will not spread
- Cancerous tumor spreads when cells break off from tumor and enter blood of lymph fluid
History
- Ancient physicians knew cancer would return after surgery
- Didn't think cancer was curabel until 21st century
- Mastectomy developed during end of 19th century
- End of 20th century minimized amount of normal tissue removed during operations
- 1970s they stopped doing exploratory surgery
Lumpectomy with Sentinel Lymph Node Biopsy
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